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Rural Health Information Hub

Telehealth and Health Information Technology in Rural Healthcare – Resources

Selected recent or important resources focusing on Telehealth and Health Information Technology in Rural Healthcare.

Proposed CY 2026 Medicare Physician Fee Schedule: Fact Sheet
Fact sheet covering Centers for Medicare & Medicaid Services (CMS) telehealth policy changes for 2026 as outlined in the final calendar year (CY) 2026 Physician Fee Schedule. Covers the process for determining which services can be delivered by telehealth; frequency limitations for inpatient visits, nursing facilities, and critical care consults; direct supervision through the use of live video; payment to Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs); and more.
Date: 07/2025
Sponsoring organization: Center for Connected Health Policy: The National Telehealth Policy Resource Center
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Establishing First Age-Friendly Health System Tele-Palliative Care Clinic – Facilitators, Challenges, Lessons Learned to Improve Care for Rural, Older Veterans
Presents a study exploring an age-friendly tele-palliative care clinic for older veterans. Highlights challenges and successes of using telehealth to provide palliative care to older rural veterans in Colorado.
Author(s): Stephanie Hartz, Alexander Garbin, Kathryn Allen Nearing, et al.
Citation: INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 62
Date: 07/2025
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Electronic Public Health Reporting Among Non-Federal Acute Care Hospitals, 2024
Data brief examining public health reporting among acute care hospitals, including rural hospitals and Critical Access Hospitals (CAHs), in 2024 using data from the the 2024 American Hospital Association (AHA) Information Technology (IT) supplement. Presents data on the mean number of public health reporting types completed by hospital size, CAH status, rural/urban location, and independent/system affiliation. Describes challenges hospitals face with electronic public health reporting and electronic health information, such as lack of capacity to exchange electronically, interface issues, and differing vocabulary standards. Appendix Table A1 presents data on the methods used to submit data electronically across four data streams - immunization registry, syndromic surveillance, electronic lab reporting, and electronic case reporting - by hospital characteristics.
Date: 07/2025
Sponsoring organization: Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology
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An Exploratory Study to Understand How Rurality Status and Demographic Characteristics Are Associated With Enrollment, Engagement, and Retention in a Digital Health Intervention Targeting the Appalachian Region
Explores how rural status is associated with enrollment, retention, and engagement in a digital health intervention aimed at reducing sugar-sweetened beverages in Appalachia. Breaks down data by rurality, sex, income, and education, among other measures.
Author(s): Donna‐Jean P. Brock, Lee M. Ritterband, Wen You, et al.
Citation: Journal of Rural Health, 41(2), e70042
Date: 06/2025
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Organizational Factors Associated with Using Telehealth Services: Perspectives from Leaders of Rural Health Clinics and Federally Qualified Health Centers
Research and policy brief examining organizational factors influencing telehealth use in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Summarizes interviews with RHC and FQHC key informants to discuss perceptions of telehealth, implementation challenges, operational challenges, and opportunities for innovation. Provides suggestions for policy and reimbursement approaches to improve telehealth provision and access.
Author(s): Constance van Eeghen, John A. Gale, Erika Ziller, Yvonne Jonk
Date: 06/2025
Sponsoring organization: Rural Telehealth Research Center
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The Opioid Epidemic in Rural Communities: Can Telehealth Increase Access to Medication for Opioid Use Disorder and Offset Barriers to Care?
Examines the impact of telehealth on access to medication for opioid use disorder (MOUD) and substance and opioid use disorder (SUD/OUD) treatment. Utilizes data from the Rural Communities Opioid Response Program's (RCORP) consortia, the National Survey of Drug Use and Health (NSDUH), and the U.S. Census Bureau's American Community Survey (ACS) to analyze access to MOUD and rates of telehealth use for rural consortia. Discusses potential barriers and factors impacting telehealth implementation for SUD/OUD care.
Author(s): Kathleen Meyers, Shannon Herman, Heather Schuler, et al.
Citation: Drug and Alcohol Dependence, 271, 112628
Date: 06/2025
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Impact of Telemental Health on Suicide Prevention Care in U.S. Emergency Departments
Describes results of a survey of 977 hospital emergency departments regarding the use of telemental healthcare, and presents data by hospital characteristics, including rural location and Critical Access Hospital (CAH) status. Explores whether access to telemental healthcare affects use of six recommended suicide prevention practices. Compares the use of suicide prevention practices among patients with identified suicide risk by telemental healthcare status and CAH designation.
Author(s): Stephanie K. Doupnik, Cadence F. Bowden, Diana Worsley, et al.
Citation: Academic Emergency Medicine, 32(9), 956-965
Date: 05/2025
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Merit-based Incentive Payment System (MIPS): 2025 MIPS Promoting Interoperability Performance Category Hardship Exception Application Guide
Provides guidance on how clinicians can apply for a MIPS hardship exception. Highlights guidance for having your MIPS Promoting Interoperability performance category reweighted to 0% in cases of insufficient internet connectivity, decertified electronic health record technology, or other circumstances out of the clinicians' control.
Date: 05/2025
Sponsoring organization: Centers for Medicare and Medicaid Services
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Comparative Effectiveness of Buprenorphine Adherence with Telemedicine Versus In-Person for Rural and Urban Patients
Compares adherence to buprenorphine for opioid use disorder in telemedicine versus in-person healthcare in rural and urban populations. Utilizes 2017–2022 data from 511 adults and compares 3,302 in-person and 519 telemedicine visits, with breakdowns according to patient characteristics, adherence, gaps in treatment, and rural versus urban location. Discusses changing legislative requirements related to buprenorphine treatment and the potential impact on rural populations.
Author(s): Thomas J. Reese, Nana Addo Padi-Adjirackor, Kevin N. Griffith, et al.
Citation: Journal of the American Pharmacists Association, 65(2), 102318
Date: 03/2025
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Millions in US Live in Places Where Doctors Don't Practice and Telehealth Doesn't Reach
Discusses U.S. regions that experience healthcare workforce shortages and lack access to telehealth. Includes interactive county-level map showing behavioral healthcare deserts, primary care deserts, broadband deserts, dead zones, life expectancy, household income, and percentage of rural residents. Provides comparisons of chronic disease for those with and without digital access and showcases county-level dead zones in Alabama.
Author(s): Sarah Jane Tribble, Holly K. Hacker Data, Lydia Zuraw
Date: 03/2025
Sponsoring organization: KFF
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Last Updated: 9/17/2025